Invited Review Service
high quality expert service aims to support NHS mental health
providers and independent sector organisations to resolve concerns
about individual, team and service quality and performance.
A standardised approach
to invited reviews has been developed, which combines a
comprehensive knowledge of current standards and guidelines for
high quality services with a wide range of clinical experience and
skills. Following the review, we will provide recommendations that
are salient and achievable.
Professor Rob Poole is the Specialist Adviser
for Remediation and was appointed in July 2013.
We provide independent,
professional advice when concerns have been identified in areas
- Clinical service organisation
(this can include for example, service configuration, resources,
- Clinical team
- The clinical practice of
individual clinicians or teams
There are broadly three types of review that
can be set up:
1. Service review – the IRS will
provide an expert opinion in relation to identified concerns about
a specific clinical service. This will normally involve examination
of relevant documentation, a site visit and meetings with relevant
individuals in the service.
2. Individual/Team review – the
IRS will provide an expert opinion on identified individual/team
functioning where the employer believes that concerns about
clinical practice can be resolved through external professional
advice that is credible to all parties. This will normally involve
a site visit, meetings with relevant individuals and examination of
3. Case note review – in this
type of review the IRS will provide an independent expert opinion
on whether the assessment and clinical management of patient (s) is
within the range of acceptable practice using approved/evidence
based documents to benchmark the clinical practice that is being
assessed. These documents include: Good Psychiatric Practice,
CR154 (February 2009), Good Medical Practice, General Medical
Council (2009) and any other faculty specific guidance.
The IRS can help in cases where severe difficulties have been
· Cannot be
rectified by internal processes,
· Do not meet
criteria for the formal involvement of regulators.
We aim to provide a
limited number of clear and implementable recommendations to
improve the quality of patient safety and care.
The IRS will only accept
commissions for an Invited Review from the Medical Director and/or
the Chief Executive of bodies that provide mental health care.
However, terms of reference (ToR) can be developed with less senior
managers (normally medical managers) and the tasks related to
organising the review can be delegated to other members of
Is an Invited Review appropriate?
The Invited Review Service will not conduct a review if:
- A GMC Fitness to Practice
investigation is underway.
- We do not have consent from doctors
who may be subject to criticism.
- The Police or Counter Fraud service is
- The Medical Director or CEO has not
commissioned the review.
For more information on the Academy of Medical
Royal Colleges' ‘Operating principles for managing invited reviews
within healthcare’, please see here.
How to contact us
The IRS encourages early
confidential discussion where an Invited Review is under
consideration. The initial approach should be made to the IRS
manager, Lucille Shackleton, by the organisation’s Medical
Director with the knowledge of the Chief Executive.
Professor Poole and will
help draft terms of reference for Invited Reviews. We believe that
identification of appropriate terms of reference is an essential
element of a high quality review.
Phone: 020 3701 2583
Interested in becoming a Member of an Invited Review
If you have an interest in the work of the
IRS, and you are a Consultant Psychiatrist of at least five years
standing, who is a Member or Fellow of the College, then please
click here for
further information on the role.